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ABSTRACT Postpartum tubal sterilization is one of the safest and most effective methods of contraception Women who desire this type of sterilization typically undergo thorough counseling and informed consent during prenatal care and reiterate their desire for postpartum sterilization at the time o...

ABSTRACT Neuraxial analgesia techniques are the most effective and least depressant treatments for labor pain The American College of Obstetricians and Gynecologists previously recommended that practitioners delay initiating epidural analgesia in nulliparous women until the cervical dilatation rea...

ABSTRACT Cesarean delivery on maternal request is defined as a primary prelabor cesarean delivery on maternal request in the absence of any maternal or fetal indications Potential risks of cesarean delivery on maternal request include a longer maternal hospital stay an increased risk of respirator...

ABSTRACT Hysterectomies are performed vaginally abdominally or with laparoscopic or robotic assistance When choosing the route and method of hysterectomy the physician should take into consideration how the procedure may be performed most safely and costeffectively to fulfill the medical needs of ...

ABSTRACT Surgery can present a management dilemma for gynecologists whose patients receive chronic antithrombotic therapy because the risk of hemorrhagic complications must be balanced against the risk of thromboembolic complications Interruption of antithrombotic therapy to reduce perioperative b...

ABSTRACT Protocols and checklists have been shown to reduce patient harm through improved standardization and communication Implementation of protocols and guidelines often is delayed because of lack of health care provider awareness or difficult clinical algorithms in medical institutions However...

ABSTRACT Because of a lack of evidence from randomized trials it remains unclear whether the benefits of routine elective coincidental appendectomy outweigh the cost and risk of morbidity associated with this prophylactic procedure Because the riskbenefit analysis varies according to patient age a...

ABSTRACT Acknowledgment of the importance of patient autonomy and increased patient access to information such as information on the Internet has prompted more patientgenerated requests for surgical interventions not traditionally recommended Depending on the context acceding to a request for a su...

ABSTRACT International humanitarian medical efforts provide essential services to patients who would not otherwise have access to specific health care services The Committees on Ethics and Global Womens Health of the American College of Obstetricians and Gynecologists encourage College Fellows and...

ABSTRACT Obesity is a serious problem worldwide and particularly in the United States and in women is associated with an increased risk of death and morbid conditions including hypertension diabetes mellitus obstructive sleep apnea and hypercholesterolemia as well as malignancies such as endometri...

ABSTRACT Transgender individuals face harassment discrimination and rejection within our society Lack of awareness knowledge and sensitivity in health care communities eventually leads to inadequate access to underutilization of and disparities within the health care system for this population Alt...

ABSTRACT Initial evaluation of the patient with acute abnormal uterine bleeding should include a prompt assessment for signs of hypovolemia and potential hemodynamic instability After initial assessment and stabilization the etiologies of acute abnormal uterine bleeding should be classified using ...

ABSTRACT Listeriosis is predominantly a foodborne illness with sporadic and outbreakrelated cases tied to consumption of food contaminated with listeria Listeria monocytogenes The incidence of listeriosis associated with pregnancy is approximately 13 times higher than in the general population Mat...

ABSTRACT Recent legal actions and policies aimed at protecting the fetus as an entity separate from the woman have challenged the rights of pregnant women to make decisions about medical interventions and have criminalized maternal behavior that is believed to be associated with fetal harm or adve...

ABSTRACT Myelomeningocele the most severe form of spina bifida occurs in approximately 1 in 1500 births in the United States Fetuses in whom myelomeningocele is diagnosed typically are delivered at term and are treated in the early neonatal period A recent randomized controlled trial found that fe...

ABSTRACT In light of recent studies that further clarify the longterm risks of vaginal breech delivery the American College of Obstetricians and Gynecologists recommends that the decision regarding mode of delivery should depend on the experience of the health care provider Cesarean delivery will ...

ABSTRACT Müllerian agenesis occurs in 1 out of every 400010000 females The most common presentation of müllerian agenesis is congenital absence of the vagina uterus or both which also is referred to as müllerian aplasia MayerRokitanskyKüsterHauser syndrome or vaginal agenesis Satisfactory vaginal ...

(Reaffirmed 2013, Replaces Statement of Policy on Liposuction, January 1988)

Cosmetic procedures such as laser hair removal body piercing tattoo removal and liposuction are not considered gynecologic procedures and therefore generally are not taught in approved obstetric and gynecologic residencies Because these are not considered gynecologic procedures it is inappropriate...